HomeMy WebLinkAboutPAY ESTIMATE PAY ESTIMATE NO. ' �I n« VENDOR #
1 r `Z� ' � , L- L EXPENSE CODE
CONTRACTOR BG _ 224 32 5850 1327
Lead 224 32 5853 1327
' (` \ ' : (-' OIri( S ' HOME 224 32 5870
ADDRESS EDI 224 32 5851
Other
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CITY, STATE, ZIP PROJECT CODE
OWNER BG
ADDRESS t S M 0 /y S+, HM
CONTRACT DATE I33 - AS ` 12 - G S- C.)n - C Other
DESCRIPTION G sh►s _3 3, 3 DATE OF BILL I /2.3 / 0
INVOICE NO. 0 US
SUMMARY OF PAY ESTIMATE
ORIGINAL CONTRACT SUM $ I) 12 `, da
CHANGE ORDER NUMBERS $ C, U 0
TOTAL CONSTRUCTION COST $ 1 , 12 ;'s `-6
LESS AMOUNT PREVIOUSLY PAID $ O : 0 CU
BALANCE STILL IN CONTRACT $ t' 12 _ c)-t)
PAYMENT REQUESTED $ 1) 1 2 , "1)
LESS 10% RETAINED $ U, c) 6
TOTAL DUE CONTRACTOR THIS ESTIMATE $ 1, 1 2 c•
I have made a progress inspection of the property being rehabilitated at the above address. The
construction work for which payment has been requested has been satisfactorily completed in
accordance with the construction contract.
0 { J
DATE COMPLETED BY STAFF SPECIALIST
DATE APPROVED FOR PAYMENT COMMUNITY DEVELOPMENT DIRECTOR OR DESIGNEE